对128例确诊为社区获得性肺炎患者的咽拭子采用多重PCR方法进行病毒分类,分析病毒分类与年龄和季节的关系.病毒性肺炎占34.4% (44/128).44例病毒阳性患者中,甲型流感病毒占22.7%(10/44),鼻病毒、腺病毒各占15.9%(各7/44),副流感病毒1型和人偏肺病毒各占9.1%(各4/44),乙型流感病毒占6.8% (3/44),副流感病毒2型、副流感病毒3型及肠道病毒各占2.3%(各1/44),另有6例为多重病毒感染(13.6%).病毒性肺炎在冬春季节发病高,发病人群中20~ 29岁所占比例高.在烟台市成人社区获得性肺炎病原构成中,病毒性肺炎所占比例较大,尤其以甲型流感病毒、鼻病毒和腺病毒为主.
To employ multiplex polymerase chain reaction (PCR) to classify the types of virus in 128 patients of community-acquired pneumonia and analyze the relationship between type of virus,age and seasons.The positive rate of viral pneumonia was 34.4% (44/128).In 44 virus positive patients,the rates of influenza A virus,rhinovirus,adenovirus,parainfluenza type 1,human metapneumovirus virus,influenza B virus,parainfluenza type 2,parainfluenza type 3 and enterovirus were 22.7% (10/44),15.9% (7/44),15.9% (7/44),9.1% (4/44),9.1% (4/44)6.8% (3/44),2.3% (1/44),2.3% (1/44) and 2.3% (1/44) respectively.And other 6(13.6%) patients were at least infected by one virus.The viral pneumonia had a high positive rate in spring and winter.And the age group of 20 to 29 years had a high positive rate.The major pathogen contributing to adult community-acquired pneumonia in Yantai were influenza A virus,rhinovirus and adenovirus.